7011 CADY RD 2016-01-01 MF Import

I qpp�, I ��^ L� APPLICATION FOR SER�ICE SERVICE N° H � 5 '. rvo. - oaoey� � ,, j CITY OF EVERETT WATER DEPT. , , , /� • DATE___. '_—'—_1H � � FIXED nJ. --, , W. o. --- - DEPO8IT f �[._ l /".I:�i.- No__ � �(�// ��c .f-r � ,t 9ERVICE (eYADOPecsl— .--1 -----�--------�LK. LOT_._ADD.-- -- I _. /� � I OWNER--..-_i._ /�.' . _—_.— f_r_—.__"-___ '—.�-� �_- _ __ .'__ I �' �� .______ CONTRACTOR__—_ 'I\ . i�[ , � � FLAT _._--_.__< — , . _ �INSTA�-+ —'MlTCRLD SERVICE--_• -C_ �.� ••� -�---- — I HEREBY APPLY FOR THE USE OF WATER IN AC[ORD�NCE WITH THE �� II ORDINANCES AND POLIQES OF TME WATER DEPARTMENi NOW EXISTING f��. � �. �,_i'�� OR AS S�ME MAY BE HEflEAFTER CHANGE�. BIGHEo: X --- ��--�. — MATEfll41.9 441N. 1 IN. ; 2IN:�-� PNICE AMOUNi V PIPE CCOPPER�- GALV.-•STEEI. _��— — -� .��—r � F�-� _'_ ..�.._— _'__. __ '�'I — Ia CORPORATION _ ____.,�.�-�-I_�_ _I `_�l__— ��I�!�� __—� _ _.—___—_. _ �URBCOCK _�-T�_____________.___ _ _ — I ___— —_ )�k . --- -I I-��5 3ERVICE BOX PLA3TIC. -- C I _�" —' __"'__—_ '_ _ _ __- _ ____�_ = I METER VAWE --- . ._ _______.. _.-_ .-.— ___— —_.___- _.._ ____.___ - --_"__'.'__ ..._. _ METER No. TYPE: I sf ______ _—_ -_. __ ..- --._— " METEH BOX CONCRETE SMALL � �LARGE ..__— __ _ —_ —_' ____. ___ __ —'_——__' Il— — --'-�'"' � « � � -� — i� i � -- - -�-- �-'-- -- — --- - - ------ —� - --I - — �-- — Q!-ON � � + SUB TOTAL �f� ' i� DATE INSTALI_ED: ,3 / y � �� I � OFF ')l�� _ CODE � LABOR ANO EOUIPMENTRLNTAL � -I HOUR6 H�TE I � � ��— ----�,r� � ��,i- I i_�2?1��t_—------ ---- � -_'�� -- ------ �-y-- - --;,---- � ' - --- - ---' �,,_ ; ` �� ` � � ,�--- -- '- - ------- � - - ------- -- I i , __ _ - - -- ---- - - __---- „ _-- .__.. . _ _�� TOTAL .._ i � .._ .__ .. . . . ._ _ ...___ _._ . � . _ _ _ '__ . __—" G �_ ..._ . . _ . _ . . . �.. �_ � ' ! REMARKS: . - .